SL Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00689500 Issued in NJ

Legal business name

SL PHARMACY INC

Practice address

4300 Palisade Ave
Union City, NJ 07087-5022

Phone

(201) 863-0631

Fax

(201) 863-0637

NPI assigned

Apr 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prakash Maddali

Title

Ao

Phone

(201) 441-8470

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• anthony's pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1386888923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875022",
            "telephone_number": "201-863-0631",
            "fax_number": "201-863-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875022",
            "telephone_number": "201-863-0631",
            "fax_number": "201-863-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "201-441-8470"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00689500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066281",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3196032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anthony's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Union City, NJ
• Providers in Union City, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.